Individual
DR. MANUEL RODRIGUEZ IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1338 PHAY AVE BLDG D, CANON CITY, CO 81212-2326
(719) 285-2735
(719) 285-2915
Mailing address
1338 PHAY AVE BLDG D, CANON CITY, CO 81212-2326
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
02004519A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
DR.0072273
CO
Other
Enumeration date
06/22/2012
Last updated
09/30/2025
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